| Daisy S Vergara, Lpc | |
|
306 E Main St Ste# 102 Round Rock TX 78664-5215 | |
| (512) 481-2452 | |
| (512) 535-5880 |
| Full Name | Daisy S Vergara, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 306 E Main St, Round Rock, Texas |
| Authorized Official Name and Position | Daisy S Vergara (OWNER) |
| Authorized Official Contact | 5124812452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daisy S Vergara, Lpc 306 E Main St Ste# 102 Round Rock TX 78664-5215 Ph: (512) 481-2452 | Daisy S Vergara, Lpc 306 E Main St Ste# 102 Round Rock TX 78664-5215 Ph: (512) 481-2452 |
| NPI Number | 1053695593 |
|---|---|
| Provider Enumeration Date | 10/03/2011 |
| Last Update Date | 10/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053695593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 65961 (Texas) | Primary |
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